10th 2B Registration REGISTRATION FOR FRCR 2B COURSE REGISTRATION FOR FRCR 2B COURSE (November 2024) Name*(Required) Email*(Required) Institute Name* Account Holder's Name* Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)FRCR2B Registration Fee Course Fee Full Payment ($1200) Registration Fee Payment ($600) Balance Payment ($600) (Includes Lunch and Hi-Tea at Venue)Accomodation (Venue: La Quinta Abu Dhabi 4 star hotel) Accomodation Not Required Option 1 - 4 days Full Boarding + 4 days pick & drop to Course venue - Single Occupancy - 475 USD Option 2 - 4 days Full Boarding + 4 days pick & drop to Course venue - Twin Sharing basis (subject to availability) - 275 USD SPECIAL GROUP DISCOUNTS FOR EXTENDED STAYS For international delegates wishing to extend their stay beyond the course dates, the following rates apply for December 15th-20th: Single Occupancy - 120 USD per day Twin sharing - 75 USD per day Only Half Board - Breakfast & Dinner is included These exclusive B2B rates are available only for course participants during this period. Choose below your from and to dates for additional days of stay.To Date MM slash DD slash YYYY From Date MM slash DD slash YYYY Exam date MM slash DD slash YYYY Exam Venue HiddenPayment Status HiddenTransaction ID HiddenRegistration Fee Type HiddenRegistration Fee Terms and Conditions Our team will reach out to you once accommodation details are submitted. Places will be awarded on the first come first serve basis. This will be refunded on discretion by withholding 10% (US$ 120) as administrative fee if you wish to withdraw. Bank Details Account Name: Apollo Teleradiology Private Limited Account Number: 50200045733307 Bank Name: HDFC Bank Ltd Branch Name: Jubilee Hills, Hyderabad, Telangana State IFSC Code: HDFC0000317 Swift Code: HDFCINBB CAPTCHA
